Parent Empowerment S eries: Vaping, JUULing, and E- Cigarettes - - PowerPoint PPT Presentation

Parent Empowerment S eries: Vaping, JUULing, and E- Cigarettes

Leah Mahoney, Health Educator

The Evolving Tobacco Landscape

Tobacco Dissolvables Pipes Cigarettes S mokeless Hookah Cigars/ Cigarillos Bidis Kreteks E-cigarettes Heated Tobacco Products S nus

The Good News… Cigarette smoking is down

▶ The young adult cigarette smoking rate is at an

all-time low of nearly 10%, a more than 20% drop in just a year.

▶ The youth smoking rate has also dropped to historic

• lows. Now, 5.4% of American teens smoke, a half

percentage point drop from 2016, when 5.9% of teens smoked.

(Center For Disease Control and Prevention, 2017)

More good news...

NEW: 2018 Monitoring the Future S urvey

In 2018, percentage of students that reported “any vaping” within the past 12 months:

8th grade: 17.6% 10th grade: 32.3% 12th grade: 37.3%

NEW: 2018 Monitoring the Future S urvey

Reported use of vaping nicotine specifically in the

30 days prior to the survey nearly doubled

among high school seniors from

11%in 2017 to 20.9%in 2018.

2017 in Wisconsin:

According t o t he Wisconsin Yout h Risk Behavior S urvey (which was t he first t ime st udent s were asked about E-Cigaret t es)

▶ 11.6%

• f high school st udent s report ed

using elect ronic cigaret t es wit hin t he last 30 days

▶

Vaping was highest for whit es, males, and

• lder st udent s. For inst ance, almost a quart er

(22.7% ) of 12t h grade males vaped, vs. only 6.1% of 9t h grade males and 5.1%

• f 9t h

grade females. (wit hin t he last 30 days)

2018 in Washington County:

▶ 27.2%of High School Students in

Washingt on Count y used elect ronic vapor product s wit hin t he past 30 days according t o t he Washingt on Count y Yout h Risk Behavior S urvey

▶

In 2017, this was 11.6%for the state!

Washington County Youth Risk Behavior S urvey, 2018

What are Electronic Nicotine Delivery S ystems (ENDS )?

▶

Electronic cigarettes are battery-operated devices that people use to inhale an aerosol, NOT vapor.

▶

Typically contains nicotine (though not always), flavorings, and other harmful chemicals.

▶

Puffing activates the battery-powered heating device, which vaporizes the liquid in the cartridge or reservoir.

A look inside...

What do E Cigarettes look like…

Most recent E-cigarettes models...

The “ Badge” The “ Drop”

Top S elling E-Cigarettes: JUUL sales are booming

The JUUL

▶ JUUL devices heat up a cartridge containing “E-Juice” to create an aerosol, which quickly dissolves into the air. ▶ small enough to fit in a closed fist ▶ has a sleek, tech-inspired design that resembles a USB flash drive. ▶ comes in flavors — including mint, mango and crème brulee ▶ Customizable “wraps” or skins” featuring different colors and patterns add to the device’s concealability. ▶ ALL JUUL devices contain nicotine, there are no nicotine free options.

The JUUL

Factors that lead to youth smoking E-Cigs/ JUULing

Youth Appealing Flavors Youth Appealing Themes Low prices/price promotions Ease of Access Supposed Health Claims Exposure to Ads

Factor 1: Flavored E-Cigarette Use Among Youth

85% of e-cigarette users ages 12-17 use flavors

Mint Mango Chocolate Lemon Blueberry Creme Brulee Strawberry Banana Red Hot

National Institute on Drug Abuse

Factor 2: Low prices/ price promotions

• The cost of Electronic cigarettes is much

lower than for regular cigarettes

• Costs can vary widely, depending on the

brand and state cigarette taxes, but savings can add up to thousands of dollars a year

Factor 3: Ease of Access and Product Use

▶

In May 2016, the FDA finalized its “ deeming” regulation, asserting the agency’ s authority to regulate e-cigarettes and any product meeting the definition of “ tobacco product” under the Family S moking Prevention and Tobacco Control Act.

▶

In July 2017, the FDA announced that it would extend the timeline to submit new tobacco product applications to market newly-regulated e-cigarettes, to Aug. 8, 2022.

The Truth Initiative

Factor 3: Ease of Access and product use

▶

The Tobacco Control Act requires the FDA to issue regulations to establish age verification requirements for the internet

• n any tobacco product. However, the

FDA has yet to fully implement this set of regulations.

▶

Therefore, young people can easily get e- cigarettes online if they want them.

The Truth Initiative

Factor 4:Exposure to Advertising.

Factor 5: S upposed Health Claims…

▶ Fewer toxins and cancer causing agents ▶ Vapor is less harmful than cigarette smoke ▶ Vaping Helps Smokers Quit ▶ E-Cigarettes have little to no nicotine

But we know better..E-cigarette use in any form, is UNS AFE for youth

▶ Risk of addiction ▶ Effects on the Brain ▶ Behavioral Effects ▶ Increased risk of 2 or more tobacco

products

▶ Risk of inhaling aerosol

Most tobacco products Contain Free Base Nicotine

▶

More volatile

▶

Freebase nicotine has a higher pH level which affects the alkalinity of the nicotine. What this does is that it makes freebase e-liquid taste harsher as you climb the nicotine ladder. JUULs contain Nicotine S alts

▶

Lower Ph of Nicotine S alts allows those e-liquids to create less throat hit than free base nicotine e- liquids with similar strengths

▶

Perfect for a new, young smoker

The Truth Initiative

Nicotine on the Brain

▶ Exposure to nicotine among youth is also particularly dangerous since it has been shown to have an effect on key brain receptors, making young people more susceptible to nicotine addiction. ▶ There is some evidence that suggests the effect of nicotine on developing brains may result in greater vulnerability to addiction to other drugs as well.

The Truth Initiative

Behavioral Effects

Most people’ s brains aren’ t fully developed unt il t he age of 25, so yout h and young adult s are uniquely at risk for long-t erm, long-last ing effect s of exposing t heir developing brains t o nicot ine.

▶

These risks include: mood disorders, and permanent lowering of impulse cont rol.

▶

Nicot ine also changes t he way synapses are formed, which can harm t he part s of t he brain t hat cont rol at t ent ion and learning.

Increased risk of 2 or more tobacco products

▶ E-cigarette use among youth and young adults is strongly linked to the use of other tobacco products, such as regular cigarettes, cigars, hookah, and smokeless tobacco. ▶ Nearly 3 out of 5 high school smokers also use e- cigarettes!

E-Cigarettes produce AEROS OL, not vapor

Volatile Organic Compounds Cancer Causing Chemicals Heavy Metals such an Nickel and Tin Ultra Fine Particulate Diacetyl-flavoring linked to a serious lung disease Nicotine

E-cigarette aerosol is not harmless. It can contain harmful constituents such as:

TruthInitiative.org

Health Risks of E-Cig Flavorings:

75% of e-cigarette flavors tested contain diacetyl Diacetyl is associated with bronchiolitis obliterans, a respiratory diseases known as “popcorn lung.”

Your gut can handle more than your lungs

▶ Some e-cigarette manufacturers claim flavorings are safe because they meet the FDA definition of “Generally Recognized as Safe” (GRAS) ▶ However, GRAS does not apply to products that are not food, which would include E- Cigarettes.

Before the talk

Know the facts. ▶ Get credible information about e-cigarettes at E- cigarettes.SurgeonGeneral.gov Be patient and ready to listen. ▶ Avoid criticism and encourage an open dialogue. ▶ Remember, your goal is to have a conversation, not to deliver a lecture. ▶ It’s OK for your conversation to take place over time, in bits and pieces. Set a positive example by being tobacco-free. ▶ If you use tobacco, it’s never too late to quit. For free help, visit smokefree.gov or call 1-800-QUIT-NOW.

What Parents S hould Do

Convey your expect at ions

▶

S et clear expectations. Express your understanding

• f the risks, but explain why a person might want

to use. S hare why you don’ t want your child to use E-Cigarettes. Role play ref usal skills

▶

Practicing something along the lines of “ No thanks, I’ m not interested,” said with direct eye contact and assertive body language can help your child be prepared

What we are doing in Washington County..

▶

Tobacco Compliance Checks through the Wisconsin WINS program

▶

Too Good For Drugs

▶

Peers For Peers

▶

Community Coalitions

KAHOOT TIME!!

Go to www.kahoot.it Enter the Pin number on the screen

ht t ps:/ / creat e.kahoot .it / login/ ? _ga=2.165206966.867641100.1549391819- 2076691682.1545419822

Any questions?

S

• urces

http://health.hawaii.gov/tobacco/home/youth-smoking/ https://www.ncbi.nlm.nih.gov/books/NBK294302/figure/ch13.f11/ https://www.cdc.gov/media/releases/2016/p0425-ecigarette-ads.html https://truthinitiative.org/news/what-is-juul www.SurgeonGeneral.gov. https://www.coloradohealthinstitute.org/research/vapor-trail

https:/ / www.drugabuse.gov/ related-topics/ trends- statistics/ monitoring-future https:/ / www.lung.org/ about-us/ blog/ 2016/ 07/ popcorn-lung-risk- ecigs.html https:/ / tobaccocontrol.bmj .com/ pages/ about/ https:/ / www.ncbi.nlm.nih.gov/ pmc/ articles/ PMC3543069/ https:/ / truthinitiative.org/ news/ e-cigarettes-facts-stats-and- regulations